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PGA HOPE Philadelphia
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First Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone number
*
Your answer
Address 1
Your answer
Address 2
Your answer
City, State, Zip Code
Your answer
How many years served?
Your answer
Years of Service (ex. 2002-2022)
Your answer
Which Branch of Military did you serve in?
*
Army
Navy
Air Force
Marine Corps
Coast Guard
Status
Active Duty
Reserve
National Guard
Veteran
Separated
Retired
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Current Rank or Rank at End of Service
Your answer
Do you believe you will benefit from any adaptive golf equipment? If yes, please describe.
Your answer
Age
Your answer
Gender
*
Female
Male
Prefer not to say
Other:
Race
Black or African American
White or Caucasian
Asian
Native American or Native Alaskan
Pacific Islander or Native Hawaiian
Multiracial or Biracial
Prefer not to say
Other:
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Shirt Size
XS
S
M
L
XL
XXL
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Do you own a set of golf clubs?
Yes
No
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Are you a new or returner to the PGA HOPE Program?
*
New to PGA HOPE
Returner to PGA HOPE
What Chapter Location are you interested in?
*
Bensalem Township Country Club, Bensalem, PA
Indian Spring Country Club, Marlton, NJ
Country Club of Harrisburg, Harrisburg, PA
Union League National Golf Club, Cape May Court House, NJ
Frog Hollow Golf Club, Middletown, DE
Five Ponds Country Club, Warminster, PA
Saucon Valley Country Club, Bethlehem, PA
Union League Liberty Hill, Lafayette Hill, PA
Regents' Glen Country Club, York PA
How did you hear about PGA HOPE?
Another veteran
Commercial
Online (social media)
Other:
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What is your playing ability?
Beginner
Played in the past but haven't in a while
Average/Active
Advance
Other:
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Do you believe you would benefit from any adaptive golf equipment?
Yes
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